This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Newhouse, P. A. Articles by Homnick, D. N. Search for Related Content PubMed PubMed Citation Articles by Newhouse, P. A. Articles by Homnick, D. N. Social Bookmarking                   What's this?

The Intrapulmonary Percussive Ventilator and Flutter Device Compared to Standard Chest Physiotherapy in Patients wit Cystic Fibrosis

Department of Pediatrics, Michigan State University, Kalamazoo Center for Medical Studies, Kalamazoo, Michigan

Fred White, RRT

Respiratory Care Department, Michigan State University, Kalamazoo Center for Medical Studies, Kalamazoo, Michigan

John H. Marks, MD

Douglas N. Homnick, MD, MPH

Department of Pediatrics, Michigan State University, Kalamazoo Center for Medical Studies, Kalamazoo, Michigan

Stasis of viscid secretions in cystic fibrosis (CF) leads to chronic infection, inflammation, and lung destruction. Chest physiotherapy (CPT) has been used for many years to assist in the removal of these secretions. However, the need for independently administered CPT exists, particularly for adolescents and the older CF patient. Two devices, the intrapulmonary percussive ventilator (IPV) and the Flutter device (Flutter) have been promoted for this purpose. This study compares these devices to standard, manual CPT. There was no difference in sputum quantity produced with any method studied. Transiently lower oxygen saturation was noted with standard CPT compared with the IPV and Flutter. Inconsistent but significant improvements in flow rates were noted with the two devices compared to standard CPT. Important trends to lower lung volumes, probably indicating decreased air trapping, were also noted with all three therapies at 1 and 4 hours after administration. There were no adverse effects with any treatment regimen. Larger and longer studies of these devices compared to standard CPT and with each other are warranted to assess their value for independent administration of CPT in CF patients and to determine long-term effects on maintenance of pulmonary function.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this?

This article has been cited by other articles:

				J. H. Marks, K. L. Hare, R. A. Saunders, and D. N. Homnick Pulmonary Function and Sputum Production in Patients With Cystic Fibrosis: A Pilot Study Comparing the PercussiveTech HF Device and Standard Chest Physiotherapy Chest, April 1, 2004; 125(4): 1507 - 1511. [Abstract] [Full Text] [PDF]